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psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
April 01, 2005 - customize the site based on your own interests (perhaps you're a nurse interested in research on preventing falls
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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - May 31, 2023
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - significantly improve a number of patient outcomes, including lower rates of surgical site infections , falls
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - August 1, 2009
WebM&M Cases
A Tale of Two Falls
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-260-improved-cancer-outcomes-disposition-comments.pdf
May 22, 2023 - changes were made in response:
• Intervention categories were labeled and clear descriptions of what falls
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/visual-impairment-in-children-ages-1-5-screening-2011
January 15, 2011 - tests (Random Dot E test, Lea symbols test, and SureSight autorefractor [Welch Allyn, Inc, Skaneateles Falls
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - found a 37% increase in reporting, and decreases in preventable harm: 39% decrease in injuries with falls
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psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
April 01, 2005 - customize the site based on your own interests (perhaps you're a nurse interested in research on preventing falls
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psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - testing. 18 In looking at the second case through the lens of preventing medical errors, this likely falls
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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - We have individuals going out
into individual homes, where some serious events occur, like patient falls
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psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
March 01, 2018 - likely to rate their hospital well ( 7 ), and there is an increased risk of adverse events and patient falls
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/case-management_research-protocol.pdf
June 06, 2011 - also has been interest in
case management as a means to prevent adverse clinical events, such as falls
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - psychiatric units were medication errors (17.2 per 100 discharges), adverse drug events (4.1), and falls
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psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
March 01, 2018 - likely to rate their hospital well ( 7 ), and there is an increased risk of adverse events and patient falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
June 10, 2014 - is being asked with respect to documentation, quality, fall risk, urinary catheter appropriateness, falls
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www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
January 01, 2024 - Guidelines for falls, medication errors and adverse drug reactions are in place, and
double signatures
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - January 1, 2016
Applying root cause analysis to improve patient safety: decreasing falls
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psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
February 01, 2019 - of these patient safety concerns, many studies have suggested the United States health care system falls
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary6/osteoporosis-screening-2011
July 06, 2010 - Consideration of vision, physical function, risk for falls, and secondary causes of osteoporosis, for … 200
Age, sex, femoral neck BMD, body weight, history of fractures at age >50 y, history of falls … cardiovascular disease, type 2 diabetes, asthma, tricyclic antidepressants, corticosteroids, history of falls
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/menopausal-symptoms-protocol-final.pdf
October 15, 2024 - Once the highest remaining priority score consistently falls
below 0.20, we will evaluate the remaining